Impact of Workplace Injury on Opioid Dependence, Abuse, Illicit Use and Overdose: A 36-Month Retrospective Study of Insurance Claims

Details

• Personal Author:
  Asfaw A ; Boden LI
• Description:
  Objectives: To examine the impact of workplace injury on opioid dependence, abuse and overdose (opioid-related morbidity) and if severity of injury increases the hazard of these health effects. Methods: We used MarketScan databases to follow injured and propensity score matched non-injured workers, both without prior opioid-related diagnoses. Using a Cox proportional hazard model, we examined the impact of workplace injury on opioid-related morbidity. Results: The hazard of opioid-related morbidity for injured workers was 1.79 times than that of matched non-injured workers (95% CI 1.89 to 3.60). For medical-only and lost-time injured workers, it was respectively 1.54 (95% CI 1.02 to 2.32) and 2.91 (95% CI 1.75 to 4.84) times that of non-injured workers. Conclusions: Reducing workplace injury or severity of workplace injury, as well as efforts to ensure appropriate opioid prescribing for injured workers, may help to reduce the societal costs of opioid use. [Description provided by NIOSH]
• Subjects:
  Morbidity Occupational Health Safety Substance-Related Disorders
• Keywords:
  Drug Abuse Injuries Morbidity Rates Opioids Prescription Drugs
• ISSN:
  1351-0711
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  District of Columbia ; Massachusetts ; OSHA Region 1 ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  77
• Issue:
  9
• NIOSHTIC Number:
  nn:20059481
• Citation:
  Occup Environ Med 2020 Sep; 77(9):648-653
• Contact Point Address:
  Dr Abay Asfaw, NIOSH, Centers for Disease Control and Prevention, Washignton, DC 20201
• Email:
  hqp0@cdc.gov
• Federal Fiscal Year:
  2020
• Performing Organization:
  Boston University Medical Campus
• Peer Reviewed:
  True
• Start Date:
  20180930
• Source Full Name:
  Occupational and Environmental Medicine
• End Date:
  20220929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fa15ae914d8a1f03036af4ba68a89e79eff11bde0b519a3335d1a129af8fb64695cde70613740dd7a50b5ef99942e743d8d8b7790b0afeb6248266db85618eb8
• Download URL:
  https://stacks.cdc.gov/view/cdc/223697/cdc_223697_DS1.pdf
• File Type:
  [PDF - 438.47 KB ]